Comet Electric

21625 Prairie St,

Chatsworth, CA 91311
(818) 340-0965
EIN: 95-3135154

Kaitlin Haugland XXX-XX-7694 684 4262 01/29/2024 - 02/11/2024 02/15/2024

Regular Income 73.87 80 5,909.60 Federal Income Tax 1,069.44 3,936.54

Overtime 775.64 Social Security 405.92 1,527.53
Sick Pay 0.00 Medicare 94.93 357.25
Vacation Pay 0.00 California SDI 72.02 262.49
California State Tax 391.91 1,567.67
401K 350.00 1,400.00
Dental Insurance 45.00 180.00
Health Insurance 70.98 283.92
Vision Insurance 22.10 88.40

$25,189.88 $9,603.80 $15,586.08 $6,685.24 $2,522.30 $4,162.94

COMET ELECTRIC (95-3135154) Check #4262

21625 Prairie St Chatsworth, CA 91311 Pay date: 02/15/2024

Amount Four thousand one hundred sixty-two dollars and ninety-four cents $4,162.94

To the order of: Account: 156141304816

KAITLIN HAUGLAND Routing: 031101279 This is not a check
6831 BEVIS AVE,VAN NUYS, CALIFORNIA 91405 Bank: The Bancorp Bank, N.A. NON-NEGOTIABLE